Community Exam 1

Question 1

Goal of Public Health Nursing according to the Institute of Medicine (IOM)

Answer 1

Focus on cost, quality, and access to services

promote/protect health with nursing, social, and public health sciences

Question 2

Community HEALTH Nursing vs. Community BASED Nursing vs. Public Health Nursing

Answer 2

CH - disease prevention and health promotion
CB - acute and chronic care + promote independence
PH - cost, quality, access

Question 3

Public Health Functions? (3)

Answer 3

Assessment
Policy Development
Assurance

Question 4

Is Public Health a specialty?

Answer 4

Yes

It requires a special knowledge that brings services together

Question 5

Priorities for PHNs?

Answer 5

ADPIE’ing the community

Question 6

Florence Nightingale
William Rathbone
Lillian Wald/Mary Brewster
Ada Mayo Stewart
Carla Barton

Achievements…?

Answer 6

Organized nursing practice/education (1858)
Started first nursing association (1859)
Started Henry Settlement (services, 1893)
Started Occupational Health (1895)
Started Red Cross (1881) which cared for people outside large cities

Question 7

2 Points of Cultural Competence

Answer 7

1. Maintain a broad, objective, and open attitude toward individuals and their cultures
2. Avoid seeing all individuals as alike

Question 8

Cultural Brokering

Answer 8

advocating to meet patients culture on behalf of the client

Question 9

Cultural Accommodation

Answer 9

neglecting personal concerns to satisfy anothers

Question 10

Cultural Awareness

Answer 10

Self-examination of own beliefs as they influence behavior

Question 11

Cultural Imposition

Answer 11

imposing one’s values on another

Question 12

Prejudice

Answer 12

negative deep reaction about a group/person

Question 13

Stereotyping

Answer 13

attributing certain beliefs about a group to an individual without attention to individual differences

Question 14

Ethnocentrism

Answer 14

belief that own standards are best and judge others with them

Question 15

Ethical Decision Making Principles (4)

RNBD

Answer 15

Respect autonomy - they choose
Non-maleficence - HIPPA
Beneficence - time/cost-effective
Distributive Justice - fair distribution

Question 16

Steps to developing a Health Education Program (6)

ISCEDE

Answer 16

Identify population
Select theory
Consider educational principles
Examine educational issues
Design/Implement
Evaluate effects

Question 17

3 Points of EBP Decision Making

=BCP

Answer 17

Balance of…
Best Research Evidence
Clinical Expertise
Patient Values

Question 18

Hierarchy of Evidence (7)

R2C4(eye)

Answer 18

Randomized, Controlled, 2Blind
Randomed, Controlled
Cohort
Case Control
Case Series
Case Reports
Ideas, Opinions

Question 19

Grading Strength of Evidence (3)

QQC

Answer 19

Quality
Quantity
Consistency

Question 20

Barriers to EBP (5)

KFC-RT

Answer 20

Knowledge
Funding
Compliance
Resource
Time

Question 21

Follower Behavior

Answer 21

seeks/accepts direciton

Question 22

Gatekeeper Behavior

Answer 22

keeps outsiders out

Question 23

Leader Behavior

Answer 23

guides/directs activity

Question 24

Maintenance Specialist Behavior

Answer 24

provides physi/psychosocial support, holds group together

Question 25

Peacemaker Behavior

Answer 25

reconciles conflict

Question 26

Task Specialist Behavior

Answer 26

focuses movement

Question 27

Parish Nurse

Answer 27

Responses to health and wellness needs of populations of faith communities (partnered with church)

Question 28

Parish Nursing - Congregation/Institution based model

Answer 28

development is from community/nurse completes contractual relationships

Question 29

Parish Nursing Confidentiality

Answer 29

UTMOST IMPORTANCE, encourage family to share as it promotes self-healing

Question 30

School nurses in approaching parents on difficult topics

Answer 30

It is the nurses’ responsibility to approach/assess what they think of topic

Question 31

Roles of a School Nurse (7)

DHC4-R

Answer 31

Direct Caregiver
Health Educator
Case Manager
Consultant
Counselor
Community Outreach

Question 32

Steps to developing a Program (5)

Ad - AEA2D - Bf CDEFi

Answer 32

A. Describe problem
B. Formulate Plan
Assess population
Establish boundaries
Assess feasibility
Assess resources
Determine tools needed

C. onceptualize problem
D. etail Plan
E. valuate Plan
F. Implement Plan

Question 33

Aspects of Program Evaluation (7)

RAPE EIS

Answer 33

Relevance
Adequacy
Progress
Efficiency
Effectiveness
Impact
Sustainability

Question 34

Health Economics

Answer 34

concern with how scarce resources affect the healthcare industry

Question 35

Primary
Secondary
Tertiary Prevention

Answer 35

Education
Diagnosis/Cure
Prevent rehabilitation

Question 36

Epidemiologic Triangle

H+A+E = V

Answer 36

Host, Agent, Environment contribute to Vector

Question 37

Web of Causation

Answer 37

diseases are holistic

Question 38

Role of Public Health Nurse (5)

CRREP

Answer 38

Community Involvement
Risk assessment
Risk communication
Epidemiological Investigation
Policy Development

Question 39

Phases of Disaster Management (4)

RRMP

Answer 39

Response
Recovery
Mitigation
Preparedness

Question 40

Disaster

Answer 40

any natural/human-made incident that causes destruction that requires assistance

Question 41

Passive
Active
Sentinel
Special
Surveillance Systems
Syndromic Surveillance

Answer 41

report to local health department
active employee searches
key health events
combo of them all
anti-bioterrorism

Question 42

Threats to future Public Health Nursing

Answer 42

1. ↓ cost ↑ quality
2. ↓ cost care plans
3. balance between consumer/purchaser demands

Question 43

Public vs. Private Support

Answer 43

Public operate on annual budget like Medicare/Caid and are reimbursed by the government
Private support take resoruce from insurance, employers, managed care, and individuals